Ellen Robin Block-Stone, OTR

Individual provider Active NPI Occupational Therapist · Bardonia, NY

NPI 1730332016 · NPPES record last updated Oct 30, 2008

Key facts

NPI
1730332016
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
007960-1 (NY)
Practice address
43 Dustman Lane
Bardonia, NY 10954
Phone
(845) 623-5006
Fax
(845) 624-8881
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
007960NYMDRegistered Dietitian
007960-1NYMDSurgical Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007960-1 NY Yes

Addresses

Primary practice location

43 Dustman Lane
Bardonia, NY 10954

Mailing address

43 Dustman Lane
Bardonia, NY 10954
Phone (845) 623-5006

Other providers in Bardonia, NY

All providers in Bardonia, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.